MIHP New Possibilities JY-09

BUILDING A COORDINATED

SYSTEM OF MATERNAL INFANT

HEALTH PROGRAM, MIHP SERVICES

IN SOUTHEAST MICHIGAN

July Update Central Registry Pilot

Jametta Lilly, Project Consultant,

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General Public

Health Plans

Non-MIHP Providers

Women / Families

UWCS 211

• Receive, Refer and Notify Providers

• Client Follow-Up • Reporting

MIHP Providers

• Intake and Service Delivery

• Reporting • Follow-Up and

QA

Health Plans

• Refer to MIHP and/or 211

• Receive Reports • QA

Public Health and MDCH

• Collaborative Reporting

• QA • System

Improvements

Original Concept - SEM MIHP 211 Pilot

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General Public

Health Plans & MIHP Providers

Non-MIHP Providers

Women / Families

UWCS 211

C of D 311

MIHP Providers

Health Plans

DHWP and MDCH

New Possibilities

Building on the Strengths of 211 and 311

Proposed New Concept 211 serves as the designated INR linking callers to MIHP

and related services. Forwards initial caller information and MIHP referral to 311. 211 will assure more robust referral information and all parties will work to

strengthen data sources and algorithms (Ex. Children with Special Healthcare Needs. INR = Information Resource & Referral)

311 serves as the Central Registry using proven

technology tools and follow-up processes to receive

track and report data from 211, health plans, providers, DHWP and MDCH.

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General Public Health Plans &

MIHP Providers

Non-MIHP Providers Women /

Families

UWCS 211

• Receive calls , electronically capture MIHP caller data

• Refers caller & Notifies Providers

• Forwards all data to 311

• Receives / updates MIHP provider information in 211

• Health & Wellness Promotion

C of D 311

• Receives caller data set, MIHP and Health Plan referrals from 211 and/or direct

• Receives and tracks all MIHP updates

• Retains data, generates aggregate & individual reports

• Health & Wellness Promotion

MIHP Providers

• Receive referrals from 211

• Assures updated information

• Performs Intake and Services

• Provides Status and Discharge Reports to 311

• Collaborates for System Improvement

Health Plans

• Refer members to MIHP via 311

• Receive aggregate and individual reports from 311

• Quality Assurance & Communication across Health Benefits/Providers

• Collaborate for System Improvement

DHWP and MDCH

• DHWP. A) Receive individual MIHP data. B) Facilitate Collaborative Reports & System Improvements

• MDCH. A) Receive individual data B) Generate outcome data. C) Collaborate for System Improvement

New Possibilities

Building on the Strengths of 211 and 311

Add’l Opportunities for Discussion: Coordinating Information and Protocols

between 211, 311 and Children’s Hospital and Partners using phone and web resources.

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General Public

Health Plans

Non-MIHP Providers

Women / Families

SEM MIHP Pilot Participants June 2009

Priority

Health

Services

Silverspoon Superior

Family Services

DHWP

-MIHP

Crystal Home

Health

Pilot Health Plans To

Date:

Omnicare Total Health

MIHP Pilot

Core Team

Audrey Smith, General Manager and Carolynn Rowland, Director, Maternal Infant Health DHWP

William Sullivan, Director. 211 Services, Kristen Bolds, Operations Manager, UWCSEM

Rosemary Asman, MI Dept. Community Health, Women's Health Consultant

Kathy Urbats, MIHP Wayne County Department of Public Health

Derrell Snyder, City of Detroit, 311

Jametta Lilly, Project Consultant, Sierra Synergy

Consulting. For more info call 313 510-3206

Coordinated MCH/Pediatric Services Information Partners

Children’s Hospital of MI – Teresa Holtrop, Dir. Pediatric Mobile Clinic, Leland Babitch Chief Medical Information Officer,

and Paul Giblin Dept. Pediatrics

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